NU 6541 WK 3 SOAP -Primary Care
NU 6541 WK 3 SOAP -Primary Care of Adolescents and Children
Week 3 SOAP note- Follow up Evaluation
Patient Initials: ___AH____ Age: ___12____
Gender: ___F____
SUBJECTIVE DATA:
Chief Complaint (CC): Episodes of altered mental status, follow
up from recent hospitalization
History of Present Illness (HPI): 12-year-old African American
female brought to clinic with mother for follow up evaluation after
hospitalization. Two days prior, patient was at school with she
became altered and had episodes of jerking movements. …
Medications:
…
Imipramine 25mg PO PRN- Mother reports that she occasionally
takes this is she drinks a lot prior to bed. Last dose was 1 week
prior to event occurring.
Trazodone PRN
Allergies: NKDA
Past Medical History (PMH):
The cause-and-effect diagram called the Fishbone or Ishikawa Diagram
The cause-and-effect diagram called the Fishbone or Ishikawa Diagram showing cost benefit analysis. The Fishbone Diagram and Cost-Benefit Analysis: A Critical Exploration The Fishbone diagram, also known as the Ishikawa diagram, serves as a visual tool widely employed in quality management and problem-solving to identify potential causes contributing to a specific effect (Ishikawa, 1982). While […]